Table 2.

Mode of delivery for nutrition and health counselling in rural Siaya

NHC components	Codes from transcripts	Caregivers’ & stakeholders’ quotes
Setting	Health facilities setting	“We used to be trained when we go to the clinic…” (CG_009; Mother, 32). “… mostly nutritional counselling is offered in the maternal and child health clinic…” (SH_013; Director/GOK, 41)
	Community setting	“We had to work hand in hand with the ministry of health in ensuring that they were able to train our community home volunteers, who normally visit the households” (SH_023; Program officer/NGO, 34)
Target audience	Only mothers Only women	“I never saw men there.” (CG_011; Mother, 40) “… one of the major strategies we used was actually also going to the hospitals where the mothers in the morning when they come for what we call antenatal clinics, they usually have those classes’’ (SH_004;Nutritionist/ Academia, 43)
	Both mothers and spouses counselled	“We don’t usually go with him [father of child]. I cannot lie, we have never gone with him” (CG_016, Mother, Unknown age) “We went with him for the first time, and I went alone for the rest” (CG_020; Mother, 26) “When we started, it was only women. But when they [CHVs] started coming to meet us in the village, they had to be open and talk to our men also” (CG_004, Mother, 22)
Duration of counselling session	30–60 min 60–90 min	“Just half an hour to one hour”. (CG_024; Mother, 38) “It would take even an hour” (CG_004, Mother, 22)
	> 90 min	“… I have done one for three hours because there were a lot of issues that needed to be discussed so I think the longest have done is 3 h” (SH_009;Nutritionist/ GOK/NGO, 53)
Frequency	once a month,	“… those sisters [nurses] at Lwak hospital trained us. We meet once a month” (CG_004; Mother, 22) “…. when we were doing the nine months follow-up studies, it would be every month, every month they are coming for follow up, we would offer some nutritional guidance, some nutritional information” (SH_014; Nutritionist/ Academia, 39)
	more than once a month	“…each person is supposed to get up to two sessions per month” (SH_005; Nutritionist/NGO, 45)
Counsellor	CHVs	“When I take the child to the clinic to get the injections, there are usually Community Health Workers who are assigned; they usually train for a short time” (CG_029; Mother, 31)
	Health personnel: Nurses, Nutrition officers	“We are usually taught by the doctor when we take children to the clinic” (CG_020; Mother, 26)